OrganizationActive
The Healing Impact, Inc
NPI 1154988772 · Clinical Social Worker · Shalimar, FL
Provider details
- NPI number
- 1154988772
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy Ellis, Ceo(850) 261-9032
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4 9th Ave Ste F
Shalimar, FL 32579-1742
Phone: (850) 420-9317
Fax: (850) 505-3078
Street-level locationGet directions
Mailing address
5170 Annie Ruth St
Milton, FL 32570-8153
Other names (DBA / former)
- Former legal business name
- The Healing Impact LLC
- Former legal business name
- The Healing Impact LLC
Additional practice locations (2)
- 4100 S Ferdon Blvd Ste B4Crestview, FL 32536-5287Phone: (850) 420-9317Fax: (850) 505-3078
- 4300 Bayou Blvd Ste 30Pensacola, FL 32503-2671Phone: (850) 420-9317Fax: (850) 505-3078
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.